Annals of Colorectal Research

Published by: Kowsar

Impact of Operative Delay on Sepsis and Mortality in Patients with Acute Diverticulitis

Robin F. Irons 1 , * , Michael E. Kwiatt 1 , Michael J. Minarich 1 , John P. Gaughan 2 , Francis R. Spitz 1 and Steven J. McClane 1
Authors Information
1 Department of Surgery, Cooper University Hospital and Cooper Medical School of Rowan University, Camden, NJ, USA
2 Cooper Research Institute and Cooper Medical School of Rowan University, Camden, NJ, USA
Article information
  • Annals of Colorectal Research: March 2017, 5 (1-2); e48494
  • Published Online: March 31, 2017
  • Article Type: Research Article
  • Received: February 22, 2017
  • Accepted: February 22, 2017
  • DOI: 10.5812/acr.48494

To Cite: F. Irons R, E. Kwiatt M, J. Minarich M, P. Gaughan J, R. Spitz F, et al. Impact of Operative Delay on Sepsis and Mortality in Patients with Acute Diverticulitis, Ann Colorectal Res. 2017 ; 5(1-2):e48494. doi: 10.5812/acr.48494.

Copyright © 2017, Colorectal Research Center and Health Policy Research Center of Shiraz University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Munson KD, Hensien MA, Jacob LN, Robinson AM, Liston WA. Diverticulitis. A comprehensive follow-up. Dis Colon Rectum. 1996; 39(3): 318-22[PubMed]
  • 2. Papagrigoriadis S, Debrah S, Koreli A, Husain A. Impact of diverticular disease on hospital costs and activity. Colorectal Dis. 2004; 6(2): 81-4[PubMed]
  • 3. Peery AF, Dellon ES, Lund J, Crockett SD, McGowan CE, Bulsiewicz WJ, et al. Burden of gastrointestinal disease in the United States: 2012 update. Gastroenterology. 2012; 143(5): 1179-87 e1-3[DOI][PubMed]
  • 4. Bahadursingh AM, Virgo KS, Kaminski DL, Longo WE. Spectrum of disease and outcome of complicated diverticular disease. Am J Surg. 2003; 186(6): 696-701[PubMed]
  • 5. Liljegren G, Chabok A, Wickbom M, Smedh K, Nilsson K. Acute colonic diverticulitis: a systematic review of diagnostic accuracy. Colorectal Dis. 2007; 9(6): 480-8[DOI][PubMed]
  • 6. Feingold D, Steele SR, Lee S, Kaiser A, Boushey R, Buie WD, et al. Practice parameters for the treatment of sigmoid diverticulitis. Dis Colon Rectum. 2014; 57(3): 284-94[DOI][PubMed]
  • 7. Osborne Marc C. Diverticular disease expanded version." Diverticular disease expanded version | ASCRS.
  • 8. Zeitoun G, Laurent A, Rouffet F, Hay J, Fingerhut A, Paquet J, et al. Multicentre, randomized clinical trial of primary versus secondary sigmoid resection in generalized peritonitis complicating sigmoid diverticulitis. Br J Surg. 2000; 87(10): 1366-74[DOI][PubMed]
  • 9. SAS Institute. . Inc.
  • 10. Broderick-Villa G, Burchette RJ, Collins JC, Abbas MA, Haigh PI. Hospitalization for acute diverticulitis does not mandate routine elective colectomy. Arch Surg. 2005; 140(6): 576-81[DOI][PubMed]
  • 11. Schwesinger WH, Page CP, Gaskill H3, Steward RM, Chopra S, Strodel WE, et al. Operative management of diverticular emergencies: strategies and outcomes. Arch Surg. 2000; 135(5): 558-62[PubMed]
  • 12. Rodkey GV, Welch CE. Changing patterns in the surgical treatment of diverticular disease. Ann Surg. 1984; 200(4): 466-78[PubMed]
  • 13. Chapman J, Davies M, Wolff B, Dozois E, Tessier D, Harrington J, et al. Complicated diverticulitis: is it time to rethink the rules? Ann Surg. 2005; 242(4): 576-81[PubMed]
  • 14. Anaya DA, Flum DR. Risk of emergency colectomy and colostomy in patients with diverticular disease. Arch Surg. 2005; 140(7): 681-5[DOI][PubMed]
  • 15. Dharmarajan S, Hunt SR, Birnbaum EH, Fleshman JW, Mutch MG. The efficacy of nonoperative management of acute complicated diverticulitis. Dis Colon Rectum. 2011; 54(6): 663-71[DOI][PubMed]
  • 16. Sallinen VJ, Mentula PJ, Leppaniemi AK. Nonoperative management of perforated diverticulitis with extraluminal air is safe and effective in selected patients. Dis Colon Rectum. 2014; 57(7): 875-81[DOI][PubMed]
  • 17. Mozer AB, Spaniolas K, Sippey ME, Celio A, Manwaring ML, Kasten KR. Post-operative morbidity, but not mortality, is worsened by operative delay in septic diverticulitis. Int J Colorectal Dis. 2017; 32(2): 193-9[DOI][PubMed]

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